Ananda Aged Care Michael Page AAW2019 Overview Antibiotics are vital lifesaving medicines Antimicrobial resistance is both a global and local problem The link between antibiotic use and resistance ID: 1036561
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1. Antibiotic Awareness 2019 Ananda Aged CareMichael Page#AAW2019
2. OverviewAntibiotics are vital life-saving medicines Antimicrobial resistance is both a global and local problemThe link between antibiotic use and resistanceAddressing antimicrobial resistance in AustraliaAntimicrobial stewardship (AMS)Antibiotic Awareness Week
3. Antibiotics are a type of antimicrobial AntimicrobialsRef:1
4. Narrow spectrum antibiotics work against a limited group of bacteria Broad spectrum antibiotics work against a larger group of bacteriaOveruse of unnecessarily broad spectrum antibiotics can drive antimicrobial resistance Broad vs Narrow Spectrum
5. Antimicrobial resistance (AMR) occurs when bacteria, parasites, viruses or fungi change to protect themselves from the effects of antimicrobial drugs designed to destroy them.This means previously effective antimicrobial drugs (e.g. antibiotics) used to treat or prevent infections may no longer work.The World Health Organization (WHO) has identified AMR as ‘one of the biggest threats to global health’.Australia has in place a national AMR strategy. What is antimicrobial resistance (AMR)?
6. Antimicrobial resistance is a natural phenomenon Overuse, misuse and inappropriate use of antibiotics may accelerate this The delivery of more complex health care which may require longer use of antibiotics Prolonged hospitalisation The potential impact of surgical procedures undertaken overseas Resistant pathogens can now spread easilyduring hospitalisation if infection prevention is poorpotential for cross-border transmission through increased travel.How has antimicrobial resistance developed?
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9. Treatment failuresRecurring infectionsLonger hospital stays Longer recovery timesA higher risk of mortality or long term implicationsSignificant financial cost of treatmentPatient impact of antimicrobial resistant infectionsRef:15Preventing infections is everybody's business
10. Antimicrobial Stewardship isn’t about “not using antimicrobials” but rather “identify that small group of patients who really need antibiotic treatment and then explain, reassure and educate the large group of patients who don’t” Stewardship means to protect somethingAMS is a systematic approach to optimising the use of antimicrobialsGoals of AMS are to:improve patient outcomes / patient safetyreduce antimicrobial resistancereduce costs.AMS works hand-in-hand with infection prevention and control strategiesAntimicrobial Stewardship (AMS)Ref:20
11. Antimicrobial resistance:occurs when an organism evolves and develops resistance to an antimicrobial that should inhibit or destroy it is reducing the effectiveness of antimicrobials to treat infectionsis happening nowFew new antimicrobials are being developed The misuse, overuse, and inappropriate use of antimicrobials contributes to antimicrobial resistanceAntimicrobial stewardship works hand in hand with prevention and control strategies to help address antimicrobial resistance. Key messages